Organization Active NPI

Central Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Lexington, KY
National Provider Identifier
1275628430
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CENTRAL PROSTHETICS & ORTHOTICS INC
Practice address
3295 Eagle View Lane
Lexington, KY 40509-1852
Phone
(859) 263-7712
Fax
(859) 263-7607
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ed H Gildehaus III, CPO FAAOP CPED
Title
President Owner
Phone
(859) 263-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3295 Eagle View Lane
Lexington, KY 40509-1852

Mailing address

3295 Eagle View Lane
Lexington, KY 40509-1852
Phone (859) 263-7712

Other identifiers 3

IdentifierTypeStateIssuer
000000066651OtherANTHEM
90030347MedicaidKY
9565OtherHUMANA

Other names 1

  • Central Brace & Prosthetics Inc Doing business as

National Provider Directory

National Provider Directory

Locations

3295 Eagle View Ln
Lexington, KY 40509
Phone (859) 263-7712

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1275628430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 EAGLE VIEW LANE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091852",
            "telephone_number": "859-263-7712",
            "fax_number": "859-263-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 EAGLE VIEW LANE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091852",
            "telephone_number": "859-263-7712",
            "fax_number": "859-263-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "GILDEHAUS",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "859-263-7712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CPO FAAOP CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000066651",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90030347",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Brace & Prosthetics Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.